HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## Resource Profile: Condition: obligations

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/condition-obl-eu-hdr | Version: 1.0.0-alpha
Standards status: Informative | Maturity Level: 0 | Computable Name: ConditionEuCoreObligation
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile defines obligations for the Condition in the scope of this guide. It support the Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:assertedDate |  | 0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x] |  | 1..1 | dateTime | Date and time of the diagnosis assertion
extension:relatedArtifact |  | 0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | External Ids for this condition
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
clinicalStatus | ?!O Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
verificationStatus | ?!O Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
code | O Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Documentation
eHDSI Illness and Disorder | candidate | For cross border data exchange
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
bodySite | O Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime | O Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Slices for abatement[x] | C | 0..1 |  | When in resolution/remission Slice: Unordered, Closed by type:$this
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
abatement[x]:abatementDateTime | O C | 0..1 | dateTime | When in resolution/remission
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ConditionEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
identifier | O | 0..* | Identifier | External Ids for this condition
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
clinicalStatus | O | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
verificationStatus | O | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
code | O | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
bodySite | O | 0..* | CodeableConcept | Anatomical location, if relevant
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
subject | O | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
Slices for onset[x] |  |  |  | Content/Rules for all slices
onset[x]:onsetDateTime | O | 0..1 | dateTime | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Slices for abatement[x] |  |  |  | Content/Rules for all slices
abatement[x]:abatementDateTime | O | 0..1 | dateTime | When in resolution/remission
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the condition content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:assertedDate |  | 0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x] |  | 1..1 | dateTime | Date and time of the diagnosis assertion
extension:relatedArtifact |  | 0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | External Ids for this condition
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
clinicalStatus | ?!O Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
verificationStatus | ?!O Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
category |  | 0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code | O Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Documentation
eHDSI Illness and Disorder | candidate | For cross border data exchange
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
bodySite | O Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime | O Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Slices for abatement[x] | C | 0..1 |  | When in resolution/remission Slice: Unordered, Closed by type:$this
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
abatement[x]:abatementDateTime | O C | 0..1 | dateTime | When in resolution/remission
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
recordedDate | Σ | 0..1 | dateTime | Date when the condition record was created
recorder | Σ | 0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who asserted the condition
stage | C | 0..* | BackboneElement | Stage/grade Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ConditionEuCore

Summary

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:assertedDate |  | 0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x] |  | 1..1 | dateTime | Date and time of the diagnosis assertion
extension:relatedArtifact |  | 0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | External Ids for this condition
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
clinicalStatus | ?!O Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
verificationStatus | ?!O Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
code | O Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Documentation
eHDSI Illness and Disorder | candidate | For cross border data exchange
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
bodySite | O Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime | O Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Slices for abatement[x] | C | 0..1 |  | When in resolution/remission Slice: Unordered, Closed by type:$this
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
abatement[x]:abatementDateTime | O C | 0..1 | dateTime | When in resolution/remission
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from ConditionEuCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
identifier | O | 0..* | Identifier | External Ids for this condition
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
clinicalStatus | O | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
verificationStatus | O | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
code | O | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
bodySite | O | 0..* | CodeableConcept | Anatomical location, if relevant
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
subject | O | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
Slices for onset[x] |  |  |  | Content/Rules for all slices
onset[x]:onsetDateTime | O | 0..1 | dateTime | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Slices for abatement[x] |  |  |  | Content/Rules for all slices
abatement[x]:abatementDateTime | O | 0..1 | dateTime | When in resolution/remission
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the condition content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:assertedDate |  | 0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x] |  | 1..1 | dateTime | Date and time of the diagnosis assertion
extension:relatedArtifact |  | 0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | External Ids for this condition
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
clinicalStatus | ?!O Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
verificationStatus | ?!O Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
category |  | 0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code | O Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Documentation
eHDSI Illness and Disorder | candidate | For cross border data exchange
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
bodySite | O Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
onset[x]:onsetDateTime | O Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Slices for abatement[x] | C | 0..1 |  | When in resolution/remission Slice: Unordered, Closed by type:$this
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
abatement[x]:abatementDateTime | O C | 0..1 | dateTime | When in resolution/remission
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
recordedDate | Σ | 0..1 | dateTime | Date when the condition record was created
recorder | Σ | 0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who asserted the condition
stage | C | 0..* | BackboneElement | Stage/grade Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ConditionEuCore

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron